NPI | 1376669747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2021-06-22 |